Provider Demographics
NPI:1912371394
Name:OH, CHRIS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:
Last Name:OH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17870 CALLE LOS ARBOLES
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-2539
Mailing Address - Country:US
Mailing Address - Phone:626-376-7973
Mailing Address - Fax:
Practice Address - Street 1:858 N SUNSET AVE
Practice Address - Street 2:
Practice Address - City:LA PUENTE
Practice Address - State:CA
Practice Address - Zip Code:91744-2548
Practice Address - Country:US
Practice Address - Phone:626-376-7973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-22
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA73900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist